| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,481 |
5,092 |
$127K |
| 11765 |
|
1,687 |
714 |
$73K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,427 |
325 |
$64K |
| 88312 |
|
304 |
223 |
$31K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
723 |
373 |
$25K |
| 17110 |
|
697 |
502 |
$24K |
| 11755 |
|
1,205 |
548 |
$24K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
304 |
223 |
$14K |
| 11102 |
|
356 |
287 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
207 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
270 |
$7K |
| 11721 |
|
1,698 |
1,341 |
$7K |
| 11043 |
|
107 |
38 |
$7K |
| 11056 |
|
586 |
457 |
$6K |
| 73630 |
|
626 |
347 |
$4K |
| 29581 |
|
328 |
140 |
$3K |
| 87481 |
|
487 |
179 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
246 |
39 |
$2K |
| 97597 |
|
50 |
25 |
$2K |
| 11000 |
|
177 |
134 |
$1K |
| 11103 |
|
266 |
179 |
$983.52 |
| 88311 |
|
115 |
91 |
$849.02 |
| 99222 |
Initial hospital care, per day, moderate complexity |
34 |
24 |
$652.63 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
188 |
97 |
$406.37 |
| 93922 |
|
42 |
30 |
$304.26 |
| 97610 |
|
39 |
13 |
$132.60 |
| 87641 |
|
41 |
25 |
$0.00 |
| 88313 |
|
93 |
54 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
18 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
41 |
25 |
$0.00 |
| 87640 |
|
41 |
25 |
$0.00 |
| 87500 |
|
23 |
13 |
$0.00 |